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患者女,39岁,于1977年5月因患鼻咽癌在我院行放射治疗。放疗后9年,患者发现右臂部肿块,经穿刺涂片,找到恶性肿瘤细胞而给予平阳霉素治疗。患者于1986年7月4日15点静注平阳霉素10mg,注射后90分钟,患者发冷发热,全身不适,至19点,病情严重,来院急诊。经体检:而色潮红、寒颤、神志模糊、大小便失禁、体温40℃、血压60/40mmHg、心率100次/分、呼吸25次/分。
The female patient, 39 years old, was treated with radiation therapy in our hospital due to nasopharyngeal cancer in May 1977. 9 years after radiotherapy, the patient found a mass in the right arm and was treated with pingyangmycin by puncture smears to find malignant cells. The patient received Pingyangmycin 10 mg intravenously at 15 o’clock on July 4, 1986. After 90 minutes of injection, the patient developed chills, fever, and general malaise. At 19 o’clock, the patient was in serious condition and went to the hospital for emergency treatment. Physical examination: color flushing, chills, confusion, incontinence, body temperature 40°C, blood pressure 60/40 mmHg, heart rate 100 beats/minute, and breathing 25 breaths/minute.